Lɛ wi lan bɔt Rayt At Kateshɔn?

Yu dɔktɔ dɔn tɛl yu fɔ du dis tɛst? Ɔ sɔntɛm yu jɔs want fɔ no mɔ. Lɛ wi tek wan simpul luk pan wetin i bi, aw dɛn kin du am, ɛn wetin mek dɛn kin du am. Nɔ wɔri, a go ɛksplen ɔltin to yu.

Wetin na dis rayt at kateshɔn?

Fɔ tɔk am simpul wan, dis na spɛshal tɛst we dɛn kin du fɔ si aw yu at de wok fayn. Spɛshal wan, i de mɛzhɔ di blɔd prɛshɔn ɛn ɔksijɛn lɛvɛl na di rayt say na yu at ɛn na yu lɔng. Sɔntɛnde dɛn kin kɔl dis pulmonary artery catheterization . Ɔda pipul dɛn kin kɔl am bak Swan-Ganz kateshɔn tɛst.

Fɔ du dis, dɔktɔ dɛn kin yuz wan tin we tan lɛk tiub we kin chenj we dɛn kɔl kateta . Dɛn kin put dis tiub insay wan big vein na yu nɛk, yu groin, ɔ yu an, ɛn dɛn kin put am sloslo tru di rayt say na yu at ɛn go insay di men blɔd vesel we kin kɛr blɔd go na yu lɔng , we na di pulmonary artery . Tink bɔt am lɛk we yu put smɔl kamɛra insay, bɔt i de mɛzhɔ prɛshɔn ɛn ɔksijɛn.

Wetin mek dis tɛst rili impɔtant? Wetin i go fɛn?

Dis ``Right Heart Catheterization'' test de ɛp dɔktɔ dɛm fɔ fɛn infɔmeshɔn bɔt ɛn manej bɔku sik dɛm. Na sɔm ɛgzampul dɛn ya:

• Cardiogenic shock: Na siriɔs tin we kin apin we di at stɔp fɔ pɔmp blɔd fayn fayn wan.
• Cardiomyopathy: Na sik we de mek di at mɔsul wik ɔ big.
• Hat sik we dɛn kin bɔn wit: Sɔm pipul dɛn kin bɔn wit sɔm at prɔblɛm dɛn. Chek fɔ dɛn.
• At nɔ de wok fayn: We di at nɔ ebul fɔ pɔmp inof blɔd.
• At valv sik: We di valv dεm na di at nכ de wok fayn.
• Pulmonary hypertension: Na di prɛshɔn we de go ɔp na di blɔd vesel dɛm we de kɛr blɔd go na di lɔng dɛm.

כlso, sכmtεm dis tεst kin nid fכ bi bifo כ afta dεn transplant di כgan, כ bifo dεn put spεshal divays we de εp di at, lεk ``Lεft Ventricular Assist Device'' . Bikɔs dis kin mek dɔktɔ dɛn no klia wan bɔt di sik we de insay di at.

Wetin na di difrɛns bitwin fɔ du am na di rayt say na di at ɛn fɔ du am na di lɛft say?

Yɛs, impɔtant tin dɛn de we difrɛn bitwin dɛn tu. Lɛ wi si wetin dɛn bi.

We dɛn de yuz rayt at kateshɔn, di dɔktɔ kin put wan tin tiub (kateshɔn) insay wan vein.. Dat min se, frɔm wan vein we de kɛr dɔti blɔd. Dis na wetin de go na di rayt say na di at. Dis kin mεsכp di prεshכn na yu rayt atria, rayt vεntrikl, εn di pulmonari at we de kכri bכdi to yu lכng.

Bɔt we dɛn de put di kateshɔn na di lɛft say, dɛn kin put di kateshɔn insay wan at . Dat min se na vein we de kɛr klin blɔd. fכ egzampl, di fεmoral atεri na di leg, di brachial atεri na di an, כ di aksila atεri na di armpit. Dis na di say we di lɛft say na di at de go. dis de mכsu di prεshכn na di lεft vεntrikl, luk di aorta εn in valv , εn de luk fכ eni blכk na di korona atεri dεm we de gi bכdi to di at. Dɛn kin kɔl dis tɛst we dɛn kin du na di lɛft say bak, dɛn kin kɔl am kadiak kateshɔn ɔ korona angiografi . Yu ɔndastand di difrɛns?

Udat de du dis tɛst? Usay dɛn kin du am?

Dɛn kin du dis `(Right Heart Catheterization)` tɛst na spɛshal rum na di ɔspitul. dεn kכl am di `Cardiac Catheterization Laboratory` כ `cath lab` fכ sכt. Na wan tim we tren we gɛt spɛshal pipul dɛn kin du am. Na wan `Advanced Heart Failure Cardiologist` ɔ wan `Interventional Cardiologist` de lid am. So, yu kin biliv tranga wan se yu de na gud an.

Aw yu fɔ rɛdi fɔ dis?

Yu dɔktɔ go gi yu patikyula tin dɛn bɔt aw fɔ pripia, bɔt bɔku tɛm na sɔntin lɛk dis:

• Yu fɔ tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek. Dis inklud di prɛskrishɔn, supamakit, ɛn mɛrɛsin dɛn we dɛn nɔ kin bay na kɔt. Sɔm mɛrɛsin dɛn, mɔ di wan dɛn we de mek blɔd/blɔd tina , kin nid fɔ stɔp fɔ sɔm dez. Dis fɔ bi jɔs lɛk aw yu dɔktɔ tɛl yu.
• Briŋ pɔsin fɔ kɛr yu go na os afta di tɛst, bikɔs i kin mek yu nɔ fil fayn smɔl sɔntɛnde, ɔ if dɛn gi yu mɛrɛsin we de mek yu slip, i nɔ fayn fɔ drayv.
• Duya pul ɛni jɔyri ɔ nel polish we yu go gɛt pan.
• Nɔ it ɔ drink ɛnitin fɔ 6 to 12 awa bifo di tɛst. Dis rili impɔtant, bikɔs ɛmti bɛlɛ de mek di tɛst izi, ɛn yu kin rɛdi if ɛnitin apin.

I rili impɔtant fɔ fala dɛn tin ya kɔrɛkt wan fɔ pas di tɛst fayn fayn wan.

Wetin kin apin bifo di tɛst?

As di tɛst de kam bigin, di dɔktɔ ɔ di nɔs go du dɛn tin ya:

• Dɛn go aks yu fɔ wɛr ɔspitul gɔn ɛn fɔ pis (ɛmti yu blad).
• Dɛn kin tɛl yu fɔ ledɔm na wan spɛshal bed.
• Dɛn kin stik smɔl smɔl tin dɛn we dɛn kɔl ilɛktrɔd na yu chɛst. Dɛn tin ya kin kɔntinyu fɔ wach aw yu at de wok, we tan lɛk ECG.

Bɔrku tɛm, dis na kwik tɛst we dɛn kɔl ``Right Heart Catheterization'', so dɛn nɔ kin anestez yu kɔmplit wan. Dis min se yu de kɔnshɛns. Bɔt sɔm tɛm, dɛn kin put wan smɔl tiub we dɛn kɔl ``IV layn'' insay wan vein na yu an, tru we dɛn kin gi yu wata ɔ mɛrɛsin fɔ mek yu fil fayn we go mek yu fil kol smɔl ɔ slip. Dɛn kin du dis fɔ mek yu nɔ fil fayn.

Wetin kin apin we dɛn de du di tɛst? Wetin wi fɔ ɛkspɛkt?

Bɔku tɛm, di tɛst insɛf kin tek lɛk wan awa so. Bɔt di tɛm fɔ pripia ɛn di tɛm fɔ wɛl afta di tɛst kin tek sɔm awa. Nɔ wɔri, dis na nɔmal tin.

Yu go de kɔnshɛns ɔl di tɛm we dɛn de du di tɛst. Di dɔktɔ go du dɛn tin ya:

• Dɛn go klin di say we dɛn go put di kateshɔn (grɔn, an, ɔ nɛk) ɛn if nid de, dɛn go sheb sɔm pan di ia we de de.
• Dɛn kin injɛkt smɔl lokal anestetik fɔ mek di say nɔ gɛt bɛtɛ trɛnk. Dɔn yu nɔ go fil ɛni pen. I go fil lɛk se smɔl ant de bit yu we yu gɛt di injɛkshɔn.
• Dɔn, dɛn kin yuz spɛshal nidul ɔ smɔl tin fɔ mek wan smɔl ol na di vein. Dis kin bi di femoral vein na yu leg, di jugular vein na yu nek, ɔ wan vein na yu an.
• Naw, dɛn kin put da tin tiub de we na di kateshɔn , smɔl smɔl ɛn gayd am to difrɛn pat dɛn na di at ɛn di blɔd vesel dɛn. Yu nɔ go fil am we dɛn de du am.
• dεn kin tek mכsul frכm di εria dεm we nid de, εn sכmtεm dεn kin tek sכm sכ m tisu sεmpl (tisu sεmpl / bayopsi) fכ di at, we dεn kin du bak tru dis kateshכn.
• Sɔntɛnde, dɛn kin tɛl yu fɔ de stil, chenj di we aw yu bɔdi de, ɔ fɔ blo wan patikyula we.
• Sɔntɛnde, yu dɔktɔ kin aks yu bak fɔ du smɔl ɛksesaiz (sɔntɛm bay we yu pedal smɔl pedal wit yu fut). Dis go luk aw yu at rit de chenj we yu de du di eksasaiz.
• Yu kin gi sɔm mɛrɛsin bak tru di IV na yu an ɛn si aw yu at de ansa to dɛn.
• Fɔ dɔn, dɛn kin pul di kateshɔn ɛn lɔk di smɔl wund.

Natin nɔ de fɔ fred, di dɔktɔ ɛn nɔs dɛn ɔl de wit yu, if yu fil ɛnitin we nɔ kɔmfyut, tɛl dɛn.

Wetin kin apin afta di tɛst?

Afta dɛn dɔn fɔ du di tɛst, di dɔktɔ dɛn pul di ilɛktrɔd dɛn we dɛn bin dɔn tay na in chɛst.Dɛn go pul di IV ɛn put am insay Dɔn dɛn go kɛr yu go na wan sɛpret rum (di rum fɔ wɛl) . Na de dɛn go tek tɛm luk dɛn tin ya:

• Ɛni blɔd de kɔmɔt usay dɛn put di kateshɔn?
• Blɔd prɛshɔn.
• At rit we yu de bit.
• Di tɛmpracha na di bɔdi.

Dɛn go de wach yu te ɔl dis kam bak to nɔmal.

Aw lɔng i kin tek fɔ mek i wɛl?

Di mɛdikal tim go wet fɔ yu fɔ sɔm awa. Bɔku pipul dɛn kin go na os afta dat. Bɔt mɛmba fɔ mek pɔsin drayv yu bikɔs yu go fil lɛk se yu de slip smɔl ɔ yu taya.

Bɔt if di tɛst si sɔntin we siriɔs, yu go nid fɔ du ɔda tɛst, fɔ gɛt tritmɛnt, ɔ fɔ de na ɔspitul. Di dɔktɔ go tɛl yu bɔt dis.

Yu tink se dis tɛst de mek pɔsin fil bad?

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. Tɛl di dɔktɔ wetin yu fil ɔl di tɛm we dɛn de du di tɛst.

Bɔku tɛm, yu go fil smɔl pen we dɛn gi yu di injɛkshɔn we de mek yu nɔ fil fayn. Yu kin fil smɔl prɛshɔn bak we dɛn put di kateshɔn. Apat frɔm dat, sɔm pipul dɛn kin gɛt dɛn tin ya:

• As di kateshɔn de nak di wɔl dɛn na yu at, yu kin fil se yu de flɔt na yu chɛst ɔ yu kin skip bit. Dis na nɔmal tin, so nɔ wɔri.
• Sɔm pipul dɛn kin gɛt ed we de at .
• Yu kin fil lɛk yu ed de tɔn (layt ed) .
• Nɔs kin apin.
• Yu kin fil smɔl prɛshɔn we di kateshɔn de muv tru di blɔd vesel.
• Yu kin fil se yu want fɔ kɔf .
• Sɔm mɛrɛsin dɛn kin mek yu fil lɛk se yu wam ɔ yu de flash smɔl .

Ilɛk wetin yu de fil, tɛl di dɔktɔ ɔ di nɔs. Dɛn go ɛp yu.

Ɛni prɔblɛm dɛn de we kin apin we dɛn du dis tɛst?

`(Right Heart Catheterization)` na jεnarali wan sef tεst . Bɔt, lɛk ɛni tɛst we dɛn kin du fɔ mɛn pipul dɛn, i kin gɛt sɔm prɔblɛm dɛn. Bikɔs na invasive procedure , i impɔtant fɔ no wetin na dɛn risk dɛn de:

• Alɛji fɔ di mɛrɛsin ɔ tin dɛn we dɛn yuz.
• At bit irɛgyulariti `(Aritmia)` .
• Smɔl damej pan di blɔd vesel dɛm (Artery damage) (dis nɔ kin apin so ɔltɛm).
• Blɔd ɔ brus kin apin na di say we dɛn put di kateshɔn.
• Blɔd kin klɔt (dis bak nɔ kin apin so ɔltɛm).
• Na smɔl tɛm nɔmɔ, di kadyak tamponade , .I kin bi sɔntin lɛk at atak ɔ strok . Dɛn tin ya nɔ kin apin so ɔltɛm, bɔt i impɔtant fɔ no.
• Infεkshכ n kin apin.
• Kכlaps lכng (dis tu nכ kin rili rare).

De impɔtant tin na dat bɔrku pan dɛn risk ya kin rili smɔl. Dɔktɔ dɛn kin jɔs du dis tɛst if dɛn tink se di bɛnifit dɛn pas di smɔl smɔl prɔblɛm dɛn we kin apin. If yu gɛt ɛni kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ.

Ustɛm a go no di rizɔlt fɔ di tɛst?

Bɔrku tɛm, di dɔktɔ go tɔk to yu bɔt di rizɔlt bifo yu go na os. Ɔ, dɛn go aks yu fɔ kam bak difrɛn de fɔ tɔk bɔt di rizɔlt (a `follow-up appointment`) . Bɔt dɛn go gi yu klia ɛksplen bɔt di tin dɛn we go apin.

Aw a fɔ tek kia ɔf misɛf afta di tɛst?

We yu dɔn go na os, yu dɔktɔ ɔ nɔs go gi yu instrɔkshɔn bɔt aw fɔ de, wetin fɔ du, ɛn wetin nɔ fɔ du. Dɛn kin tɔk tin dɛn lɛk dis:

• Nɔ bɛn, es, push, ɔ pul fɔ sɔm awa, ɔ ivin fɔ sɔm dez. Dis kin afɛkt di say we di kateshɔn de.
• If dɛn dɔn gi yu wan mɛrɛsin we de mek yu slip we de mek yu slip, nɔ drayv ɔ yuz ebi ebi mashin fɔ sɔm tɛm.
• Drink bɔku wata. I de ɛp fɔ pul di jem dɛn na di bɔdi ɛn i de ɛp bak fɔ mek di mɛrɛsin kɔmɔt na di bɔdi.
• Kip di bandej na usay dɛn put di kateshɔn fɔ wan ɔ tu dez. Chenj am lɛk aw yu dɔktɔ tɛl yu.
• Yu kin put ays pak na di say fɔ mek yu nɔ gɛt ɛni pen ɔ swel .
• Nɔ shawa fɔ 24 to 48 awa afta di tɛst. Nɔ was te di wund wɛl ɔl.
• If di wund wet, pat am dray jisnɔ, ɛn nɔ rɔb am tranga wan.

Fɔ tek tɛm fala dɛn instrɔkshɔn ya rili impɔtant fɔ mek yu wɛl kwik kwik wan.

Us tɛm yu want fɔ tɔk to di dɔktɔ afta di ɛgzam?

If yu si ɛni wan pan dɛn sik ya afta yu dɔn du di tɛst, yu fɔ go to dɔktɔ ɔ go na ɔspitul wantɛm wantɛm:

• If blɔd de kɔmɔt na di say we di kateshɔn de, ɔ if big big lump dɔn fɔm de.
• If di at bit fast ɔ nɔ de bit ɔltɛm.
• If di leg ɔ an usay dɛn put di kateshɔn de at, tɔn blu, fil kol, ɔ fil lɛk se i nɔ gɛt bɛtɛ trɛnk.
• Nɔbɔdi nɔ kin no natin.
• Di sayn dɛm we de sho se pɔsin gɛt at atak:Chɛst pen ɔ prɛshɔn, swet pasmak, shɔt briz.
• Sayn dɛm fɔ se yu gɛt infekshɔn: Fiva, rɛd, wata we de kɔmɔt lɛk pus, swel, ɛn wam na di say we di kateshɔn de.

If sɔntin lɛk dis apin, go to dɔktɔ we nɔ go te.

So, di las mɛsej we yu go kɛr go na os:

Okay, so a op se naw yu dɔn ɔndastand di tɛst we wi bin tɔk bɔt we dɛn kɔl ``Right Heart Catheterization''.

Fɔ tɔk am simpul wan, dis na tɛst we de sho di prɛshɔn we de na di rayt atria, di ventrikl, ɛn di pulmonari at. Dis kin ɛp dɔktɔ dɛn fɔ no ɛn trit at ɛn lɔng sik dɛn.

If dɔktɔ tɛl yu fɔ du dis tɛst, di dɔktɔ go ɛksplen ɔltin to yu, ivin wetin mek dɛn du am, aw fɔ rɛdi fɔ am, ɛn wetin di rizɔlt go min. Nɔ fred, aks if yu gɛt ɛni kwɛstyɔn. Di tin we impɔtant pas ɔl na fɔ no bɔt yu wɛlbɔdi biznɛs.

` Kadyak kateshɔn, at tɛst, pulmonari haypatɛnshɔn, at sik, kat lab, at wɛlbɔdi, mɛdikal tɛst